Experience with plaque excision and dermal grafting in the surgical treatment of Peyronie's disease.
BACKGROUND
Peyronie's disease is a common cause of sexual dysfunction. We assess the technique of plaque excision and dermal grafting for the treatment of Peyronie's disease.


METHODS
A total of 11 patients, aged 38-55 years, were operated for Peyronie's disease. All patients had stable plaque on the dorsum or dorsolateral aspect of the penile shaft. All patients had penile curvature, nine (81.8 percent) had painful erections, six (54.5 percent) had penile pain and three (27.3 percent) had erectile dysfunction. All suffered difficulty in intercourse. We performed plaque excision and dermal grafting. Main outcome measures were relief of penile pain, relief of painful erection, performance of satisfactory coitus and straight penis while erection.


RESULTS
All patients had relief of penile pain and painful erection. Nine (81.8 percent) patients had straight penis and had satisfactory coitus. Two (18.2 percent) patients suffered postoperative erectile dysfunction which was mild and responded to Sildenafil tabs.


CONCLUSIONS
Although experience with this technique is limited, the initial results are encouraging. We found this technique feasible with satisfactory results.
Goyal
N K
NK
Department of Urology, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, India.
Kumar
A
A
Das
S K
SK
Pandey
A K
AK
Sharma
G K
GK
Trivedi
S
S
Dwivedi
U S
US
Singh
P B
PB
D000328:Adult; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain; D010410:Penile Erection; D010411:Penile Induration / Q000601:surgery* / Q000628:therapy*; D010413:Penis / Q000033:anatomy & histology* / Q000502:physiology / Q000503:physiopathology*; D012189:Retrospective Studies; D016038:Skin Transplantation / Q000379:methods*; D014182:Transplantation, Autologous; D016042:Transplantation, Heterotopic; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects / Q000379:methods